What do you request with this form?

With this form you apply for a certificate where you prove that you are insured as an owner of a seagoing vessel or fishing boat in case of calamity.

Who can use this form?

Companies who own a seagoing vessel or fishing boat.

What are the costs for this application?

Costs apply to processing the application. You can find the recent costs on the website of the Human Environment and Transport Inspectorate (Inspectie Leefomgeving en Transport, ILT).

Which attachments do you need to add?

For every requested liability certificate you add a transcript of the agreement to provide financial security. This is the so-called ‘Blue Card’.

What happens to your application?

After the ILT receives your application the inspectorate will check the nationality of the ship. Furthermore, the ILT also checks the information on the ‘Blue Cards’. This includes information of the insurer and the dates of the insured period. You will receive an invoice after issuing your certificate.

General Information regarding the form

Please complete this form in English. Forms submitted in other languages wil not be processed.
You may save the report at any time (see the option in the top right of the screen) which allows you to reopen and complete the form at your convenience.

After completely filling in and sending in the form, you will receive an email which is your confirmation. Included in the email is a PDF copy of what you submitted. The application number of your application is also mentioned.

Questions regarding the form?

In case you have questions regarding filling in this form, please contact the ILT via telephone +31 (0)88 489 0000 or use the form on the website. If you have a question about your application, please keep your application number at hand.

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